Active NPI
James Russell Chandler, M.D.
- Diagnostic Radiology Physician
- Barre, VT
National Provider Identifier
1659463578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0420005177
- Practice address
- 1 Fisher Road
Central Vermont Hospital
Barre, VT 05401 - Phone
- (802) 371-4315
- Fax
- (802) 371-5352
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0420005177 | VT | Primary |
Addresses
Primary practice location
1 Fisher Road
Central Vermont Hospital
Barre, VT 05401
Mailing address
1350 Crosstown Rd
Berlin, VT 05602-9025
Phone (802) 229-4411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004752 | Medicaid | VT | |
| 00004752 | Other | VT | BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420005177 | VT | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659463578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CROSSTOWN RD",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029025",
"telephone_number": "802-229-4411",
"fax_number": "802-371-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FISHER ROAD",
"address_2": "CENTRAL VERMONT HOSPITAL",
"city": "BARRE",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-371-4315",
"fax_number": "802-371-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VT",
"license": "0420005177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004752",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "00004752",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.